An Entrustable Professional Activity (EPA)-Based Framework to Prepare Fourth-Year Medical Students for Internal Medicine Careers.

Journal Article (Journal Article)

The purpose of the fourth year of medical school remains controversial. Competing demands during this transitional phase cause confusion for students and educators. In 2014, the Association of American Medical Colleges (AAMC) released 13 Core Entrustable Professional Activities for Entering Residency (CEPAERs). A committee comprising members of the Clerkship Directors in Internal Medicine and the Association of Program Directors in Internal Medicine applied these principles to preparing students for internal medicine residencies. The authors propose a curricular framework based on five CEPAERs that were felt to be most relevant to residency preparation, informed by prior stakeholder surveys. The critical areas outlined include entering orders, forming and answering clinical questions, conducting patient care handovers, collaborating interprofessionally, and recognizing patients requiring urgent care and initiating that care. For each CEPAER, the authors offer suggestions about instruction and assessment of competency. The fourth year of medical school can be rewarding for students, while adequately preparing them to begin residency, by addressing important elements defined in the core entrustable activities. Thus prepared, new residents can function safely and competently in supervised postgraduate settings.

Full Text

Duke Authors

Cited Authors

  • Elnicki, DM; Aiyer, MK; Cannarozzi, ML; Carbo, A; Chelminski, PR; Chheda, SG; Chudgar, SM; Harrell, HE; Hood, LC; Horn, M; Johl, K; Kane, GC; McNeill, DB; Muntz, MD; Pereira, AG; Stewart, E; Tarantino, H; Vu, TR

Published Date

  • November 2017

Published In

Volume / Issue

  • 32 / 11

Start / End Page

  • 1255 - 1260

PubMed ID

  • 28634908

Pubmed Central ID

  • PMC5653547

Electronic International Standard Serial Number (EISSN)

  • 1525-1497

Digital Object Identifier (DOI)

  • 10.1007/s11606-017-4089-8


  • eng

Conference Location

  • United States